Telemedicine in the Generals Practitioners Office

Rijnstate Hospital

Status: Unknown

Conditions: Asthma; Respiratory Distress Syndrome; Bronchiolitis; Croup; False; Bronchial Hyperreactivity; Croup; Pneumonia

Treatments: Device: Telemedicine

Study type: Observational

Funder types: Other

Identifiers

NCT04168554

2019-1384

Details and patient eligibility

About

Pediatrician does physical examination through telemedicine and in real life to see whether the telemedicine consultation corresponds with the real life examination.

Goal is to determine:

1. Check practical feasability
2. Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much more unreliable to do a physical examination a larger study is deemed unsafe)

Full description

40 pediatric patients seen by a general practitioner (GP) whom the GP has referred or wants to refer to a pediatrician for clinical evaluation are included in this study.

Study is designed in 2 parts. Part 1 is at the emergency room in the hospital Part 2 is at the GPs office

The pediatrician sees the patient through a telemedicine consultation. Then sees the patient in real life to see if what was seen during telemedicine corresponds with the real life consultation.

With telemedicine and real life consultation the pediatrician rates the patient as either a candidate to go home or to be admitted. With the telemedicine consultation there is also an option "in doubt: i want to see the patient in real life".

Also with both telemedicine and real life examination the pediatrician scores the patient using the respiratory observation scale (Siew et al, 2016)

Goal is to:

1. Check practical feasability
2. Check whether there are no great objections for a larger study (ie. in case telemedicine consultation is much harder to do a physical examination

Enrollment: 40 estimated patients

Sex: All

Ages: 3 months to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pediatric patients with respiratory symptoms whom are referred by a general practitioner to be evaluated by a pediatrician

Exclusion criteria

• Infants younger than 2 months of age
• 19 years and older
• Ex-premature with post-conceptional age <48 weeks
• Congenital heart disease
• Down Syndrome
• Immune deficiency
• Pre-existent pulmonary disorder (Broncho-pulmonary dysplasia, Cystic Fibrosis)
• Pre-existent neurological disorders
• Apnea's
• Patients with respiratory distress with dehydration symptoms
• Patients who have already been treated with salbutamol inhalers of nebulizer - Emergency patient with respiratory insufficiency
• Technical problems which cause a delay longer than 10 minutes before a video-connection is made
• expected delay before commencing telemedicine consultation of longer than 30 minutes

Trial design

40 participants in 1 patient group

Phase 1 and Phase 2

Description:

20 patients studied in the emergency room with a pediatrician not presen in the ER performing the telemedicine examination from a distance (ie an office down the hall) followed directly by a face-to-face 20 patients included in the general practitioners office, telemedicine is performed from within the hospital to the GPs office. Patient is then still referred to the hospital in order to check whether the telemedicine and face-to-face examination are somewhat similarce physical examination

Treatment:

Device: Telemedicine